Centerville Foot Care, P.c.

NPI #1912176546 in Grayson, Georgia

Provider Information

NPI Number
1912176546
Entity Type
Organization
Organization Name
Centerville Foot Care, P.c.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 28, 2008
Last Updated
May 2, 2011

Practice Location

Address
148 MISSION OAK DR
State
Georgia
ZIP Code
30017-4153
Phone
(770) 985-6879

Authorized Official

Name
DR. WILLIAM KOVALCZYK, D.P.M.
Title
OWNER/PODIATRIST
Phone
(770) 985-6879

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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